ATI RN
ATI Maternity Exam 4 Questions
Extract:
A 38-year-old multigravida at 36 weeks gestation, BP 149/93 mmHg, pulse 80/min, RR 16/min.
Question 1 of 5
What additional finding should the nurse assess for preeclampsia?
Correct Answer: D
Rationale: Proteinuria (
D) is a key preeclampsia indicator. Contractions (
A) relate to labor, reflexes (
B) are hyperactive, and glucose (
C) is unrelated.
Extract:
A client at 33 weeks gestation with PPROM 4 hours ago, initial exam 2 cm dilated.
Question 2 of 5
Why should the nurse avoid performing another vaginal exam?
Correct Answer: D
Rationale: Frequent vaginal exams after PPROM increase infection risk (
D) by introducing bacteria. They do not directly increase labor progress (
A), pain (
B), or bleeding (
C).
Extract:
A client at 27 weeks gestation, 1-hour GTT result 160 mg/dL.
Question 3 of 5
What education should the nurse provide?
Correct Answer: D
Rationale: An elevated 1-hour GTT (
D) requires a 3-hour GTT for confirmation. Insulin (
A) is premature, increasing carbohydrates (
B) is inappropriate, and no changes (
C) ignore the result.
Extract:
A client at 36 weeks gestation with suspected placenta previa.
Question 4 of 5
Which finding supports this diagnosis?
Correct Answer: B
Rationale: Painless red vaginal bleeding (
B) is characteristic of placenta previa. Painful bleeding (A,
C) or bloody mucus (
D) suggest other conditions like abruption.
Extract:
A client at 34 weeks gestation.
Question 5 of 5
Which symptom indicates cholestasis of pregnancy?
Correct Answer: A
Rationale: Pruritus of palms (
A) is a hallmark of cholestasis. Back pain (
B) is labor-related, nausea (
C) is nonspecific, and headaches (
D) suggest preeclampsia.